Transcript Atherosclerosis

Atherosclerosis
The Heart
•Is a muscle about the size of your fist
•Weighs approximately one pound
•Is located behind and slightly to the left of the breastbone
•Pumps about 5 quarts (4.7 liters) of blood every minute
The function of the heart is to circulate blood throughout the
body by:
•Pumping blood through the lungs removes carbon dioxide
and refreshes the blood with oxygen
•The oxygenated blood is pumped to the body to provide
oxygen and nutrients and to remove waste products.
•The coronary arteries are the blood vessels that supply blood
and oxygen to the heart muscle.
Blood Supply To The Heart
2 coronary arteries branch from
the main aorta just above the
aortic valve. “No larger than
drinking straws, they divide and
encircle the heart to cover its
surface with a lacy network that
reminded physicians of a slightly
crooked crown (coronary comes
from the Latin coronarius,
belonging to a crown or wreath).
They carry out about 130 gallons
of blood through the heart
muscle daily.” (Clark, 119)
Coronary Artery Disease
• Coronary artery disease is one of the most common
and serious effects of aging. Fatty deposits build up in
blood vessel walls and narrow the passageway for the
movement of blood. The resulting condition, called
atherosclerosis often leads to eventual blockage of the
coronary arteries and a “heart attack”.
Mortality
“Cardiovascular disease claimed 39.4 percent of all
deaths or 1 of every 2.5 deaths in the United States in
2000. CVD was about 60 percent of “total mention
mortality.” This means that of over 2,400,000 deaths from
all causes, CVD was listed as a primary or contributing
cause on about 1,415,000 death certificates.” (American
Heart Disease)
Bet you didn't know....
•Since 1900, CVD has been the No. 1 killer in the United States
every year but 1918.
•Nearly 2,600 Americans die of CVD each day, an average of 1
death every 33 seconds.
•CVD claims more lives each year than the next 5 leading causes of
death combined, which are cancer, chronic lower respiratory
diseases, accidents, diabetes mellitus, influenza and pneumonia.
•Almost 150,000 Americans killed by CVD each year are under age
65.
Signs and Symptoms
Chest
Pain
None
Signs &
Symptoms
Shortness
Of Breath
Heart
Attack
• None: This is referred to as silent
ischemia. Blood to your heart may be
restricted due to CAD, but you don’t feel
any effects.
• Chest pain: If your coronary arteries can’t
supply enough blood to meet the oxygen
demands of your heart, the result may be
chest pain called angina.
• Shortness of breath: Some people may
not be aware they have CAD until they
develop symptoms of congestive heart
failure- extreme fatigue with exertion,
shortness of breath and swelling in their
feet and ankles.
• Heart attack: Results when an artery to
your heart muscle becomes completely
blocked and the party of your heart
muscles fed by that artery dies.
Atherosclerosis
can, and does, occur
in almost any artery in the body. But in the heart
it’s effects can be crucial. “The body depends on a
strong pumping heart to circulate life-giving blood,
and this includes to the heart muscle itself. If the
coronary arteries become blocked, the cardiac
muscle begins to fail, and so the blood circulation
decreases, which includes the circulation to the
heart muscle itself.” (Thibodeau, 494)
Causes
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High blood cholesterol
High blood pressure
Smoking
Obesity
Lack of physical activity
Risk Factors
Uncontrollable
Controllable
•Sex
•High blood pressure
•Hereditary
•High blood cholesterol
•Race
•Smoking
•Age
•Physical activity
•Obesity
•Diabetes
•Stress and anger
Screening and Diagnosis
Electrocardiogram
Stress
Test
Coronary
Angiography
Other Tests Include...
•Blood tests: used to evaluate kidney and thyroid
function as well as to check cholesterol levels and
the presence of anemia.
•Chest X-ray: shows the size of your heart and
whether there is fluid build up around the heart and
lungs.
•Echocardiogram: shows a graphic outline of the
heart’s movement
•Ejection fraction (EF): determines how well your
heart pumps with each beat.
Treatment
• Many people are able to manage
coronary artery disease with lifestyle
changes and medications.
• Other people with severe coronary artery
disease may need angioplasty or surgery.
Treatment (continued)
1) Stenting
• a stent is introduced into a blood vessel on a balloon
catheter and advanced into the blocked area of the artery
• the balloon is then inflated and causes the stent to expand
until it fits the inner wall of the vessel, conforming to
contours as needed
• the balloon is then deflated and drawn back
•The stent stays in place permanently, holding the vessel open
and improving the flow of blood.
Treatment (continued)
2) Angioplasty
• a balloon catheter is passed through the guiding catheter to the area
near the narrowing. A guide wire inside the balloon catheter is then
advanced through the artery until the tip is beyond the narrowing.
• the angioplasty catheter is moved over the guide wire until the
balloon is within the narrowed segment.
• balloon is inflated, compressing the plaque against the artery wall
• once plaque has been compressed and the artery has been
sufficiently opened, the balloon catheter will be deflated and
removed.
Treatment (continued)
3) Bypass surgery
• healthy blood vessel is removed from leg, arm or chest
• blood vessel is used to create new blood flow path in your heart
• the “bypass graft” enables blood to reach your heart by flowing
around (bypassing)
the blocked portion
of the diseased
artery. The increased
blood flow reduces
angina and the risk
of heart attack.
•Get regular medical checkups.
•Control your blood pressure.
Prevention
•Check your cholesterol.
•Don’t smoke.
•Exercise regularly.
•Maintain a healthy weight.
•Eat a heart-healthy diet.
•Manage stress.